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Client and Pet Information
 
cat dog bird
 
 
 
Before a scheduled meet and greet at your home, please fill out the information below. This will be directly emailed to me and is completely confidential.
 
Please do not hesitate to call or email me with any questions or concerns about this information at any time!
 
My direct email is : stellacat61@yahoo.com
 
Helpful hints for completing this section:
It is only necessary to fill in your name and address once.
 
PLEASE BE SURE TO CLICK "SEND"  2 TIMES:  AFTER YOUR ADDRESS AND AT THE BOTTOM OF THE PAGE!!
 
First Name:
Last Name:
Company:
Email:
Phone:
Address 1:
Address 2:
City:
State:
Zip:
Comments:
 
Please tell me how you found my business. This helps me track my advertising.
Google search
Yahoo search
Yellow Pages
Facebook
Referral / Word of Mouth
Information on your pet- Please use one form per pet
Pet Name:
Age:
Breed/Color/Markings:
Sex:
MALE
FEMALE
Neutered or Spayed
Vaccinations Up to Date?
Microchipped?
Veterinary Name:
What kind of food does your pet eat? How much food per feeding?
When does your pet eat:
Morning
Evening
Free Feed
Location of food? Are treats allowed?
Special feeding Instructions:
Is your pet on any medications that must be administered? If yes, please describe any medication procedures and the name and dosage of the medication as well as where it is kept.
Allergies:
Cats allowed outdoors? Location of litter box?
Pets Favorite toys:
Commands pet knows:
Favorite hiding places and what will bring him/her out of hiding? (the sound of can opener or treat jar for example?) Should bedroom or other doors be kept shut?
Does he/she have problems going outside in bad weather? Is your pet afraid of storms and what reaction will they have?
Is this pet leashed trained?
YES
NO
Where is the leash?
Do you walk dog on leash, play only in yard, or both?
Aggressive behavior to other pets or people? Reaction to strangers? Ever bitten another pet or person?
Location of cleaning supplies:
Alarm Code:
Lights and Blinds in home alternated?
YES
NO
Mail and Newspaper?
TV or Radio left on for pet company?
Instructions for watering plants:
Garbage Day?
Please tell us anything else about your pet's habits or behavior that would be useful to us in providing care:
Other information about your home that would be helpful for us to know about: Lawn sprinklers, fish ponds? Neighbors?
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